Early outcomes after ALIF with cage and plate in discogenic low back pain

This document describes techniques using, and devices embodying, integral program content distribution. These techniques and devices enable a request for program content to be received from an end-user device. In response to the request, an integral version of the requested program content is determined using an indication of a program content transition that corresponds to an apparent broadcast time of the requested program content. The program content can be transmitted to the end-user device as part of a cloud-based digital video recorder (DVR) system.